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number of different species that inhabit the human host
800
organisms that forego ________ relationships can produce disease and pathogenic response
Symbiotic
classifications of bacteria
Microscopic Morphology, Staining Charachteristics, Ability to Multiply, Drug Susceptibility Patterns, Antibody-based Serotyping
nucleic acid sequence and DNA homology, on nucleotide content, analysis of plasmid content, or ribotyping
Genetic Characterization
cells that do not have a nuclear membrane
Prokaryotic
T/F: bacteria do not have organelles
True
bacterial ribosomes ____ are made of the ____ and _____ subunits
70S; 30S and 50s
bacteria that possess a thick peptidoglycan layer surrounding the inner cytoplasmic membrane
Gram-Positive
bacteria that have a reduce peptidoglycan layer and instead of an outer membrane comprised of embedded core lipopolysaccharide and lipid A endotoxin
Gram-Negative
upon treatment with iodine, the bacteria loses its primary stain. this bacteria is gram-____________ (positive/negative)
Negative
lipopolysacchride on the membrane of gram-negative organisms binds to the ______ receptor on macrophages and endothelial cells and induces an immune response (secretion of interleukins, chemokines, and inflammatory cytokines)
CD14
T/F: a capsule containing antigenic proteins is found in both gram-positive and gram-negative cells
True
organisms capable of using CO2
Autotrophs
live under aerobic or anaerobic conditions
Facultative Organisms
restricted to the use of oxygen as the final electon acceptor
Obligate Aerobes
use the process of fermentation to live in the absence of molecular O2
Anaerobes
organisms that live on dead organic matter
Saprophytes
prevents pathogens by competing and stimulating the production of cross-protective antibodies against invading organisms
Normal Flora
may trigger pathological damage due to alterations in homeostasis
Stress, Malnutrition, and Immune Suppression
vitamins secreted in excess by the gastrointestinal tract to benefit the host
K and B12
physical barrier for Staphylococcus epidermis and Corynebacterium diphtheriae --> acne formation
Skin
washing hands limits the spread of both ______ and -____ bacteria
Commensal and Pathogenic
commonly captures organisms in the mucosal layer, with subsequent clearance by the cilia
Upper Respiratory Tract
requires macrophages and phagocytes to maintain a relative balance of bacterial cell numbers
Lower Respiratory Tract
commensal organisms of the normal body flora
Mouth, Stomach, Small Bowel, and Large Intestine
associated with vaginal epithelium and live in highly acidic conditions
Escherichia coli and Group B Streptococcus
colonizes the vaginal epithelium during childbearing years and helps establish the low pH that inhibits other pathogens
Lactobacillus acidophilus
amount of genes contained in single double-stranded supercoiled DNA chromosome
3000
self-replicating small, circular, non-chromosomal, double-stranded DNA molecules that may contain genes for antibiotic resistance and virulence factors
Plasmid
a virus that infects bacteria due to its protein coat that allows them to survive outside the bacterial host
Bacteriophages
highest efficiency of genetic exchange occurs within _______ (same/different) bacterial species
Same
naked DNA is taken up directly by recipient bacteria and is sometimes mediated by surface competence factors
Transformation
utilizes bacteriophages to mediate direct transfer of nucleic acids
Transduction
one-way transfer of plasmids by means of physical contact from F-positive bacterial cell to the F-negative bacterium
Conjugation
conjugation is often associated with _______ genes
Drug Resistance
depends on environmental conditions of the bacteria
Growth Phase
phase where bacteria adapt to growth conditions and are producing the substances needed for cell division
Lag Phase
phase when organisms are reproducing at their maximum rate
Exponential Phase
phase where depletion of nutrients and exhaustion of available resources halts reproduction
Stationary Phase
phase when bacteria run out of nutrients and die
Death Phase
enzymes that unwind the chromosome to allow proteins to bind and replicate the single strand of the DNA
Girases (Topoisomerases)
DNA replication always occurs in the ______ to _____ direction
5' to 3'
allow for the bidirectional copying of DNA fragments on the lagging strand which are later connected by ligases
Okazaki Fragments
precursor to full-blown sepsis and is caused by bacteria being found in the bloodstream
Systemic Inflammatory Response Syndrome
in severe septic states, organ perfusion is affected leading to ______ and ________
Hypoxia and Hypotension
multiple organ failure
Septic Shock
enterotoxins, toxic to the intestinal tract and causes vomiting and diarrhea
Exotoxins
considered a powerful endotoxin
LPS
two mechanisms for bacterial toxin action
Damage to Cellular Membranes and Inhibition of Protein Synthesis
________ in these antibiotics that target the cell wall attach to enzymes from that cross-link peptidoglycan and block cell wall synthesis
Beta-Lactam Rings
cell wall synthesis; inhibit peptidoglycan polymerization
Penicillin and Cephalosporins
inhibits synthesis of cell wall substrates; cell wall synthesis
Vancomycin
interfere with ribosome function through binding to the 30S or 50S ribosomal subunit
Aminoglycosides, Streptomycin, Tetracycline, Chloramphenicol, Erythromycin, Clarithromycin, Azithromycin, and Clindamycin
bind to a bacterial complex of DNA and DNA gyrase, blocking DNA replication
Quinolones
blocks transcription of mRNA synthesis by binding and inhibiting RNA polymerase
Rifampin
damage DNA
Nitroimidazoles
inhibit DNA unwinding needed for DNA synthesis
Nalidixic Acids (Floxacin, Ciprofloxacin, and Norfloxacin)
block the synthesis of folate needed for DNA replication
Sulfonamides and Trimethroprim
disrupt the plasma membrane causing leakage
Polymyxins and Amphotericin
the plasma membrane sterols of fungi are attacked by __________
Polyenes and Imidazoles
bacterial resistance mechanisms
Limited Entry, Change in Receptor, and Metabolic Inactivation
antimicrobial resistance
Spontaneous Mutation, Bacterial Transformation, and Plasmid Transfer
nonmotile, non-spore forming, gram-positive organisms that cause pyogenic and pyrogenic infections (pus and fever)
Gram-Postive Cocci
Staph infections are caused by several different types of staph germs including
MRSA (methicillin-resistant Staphylococcus aureus), MSSA (methicillin-susceptible Staphylococcus aureus), VISA (vancomycin-intermediate Staphylococcus aureus), and VRSA (vancomycin-resistance Staphylococcus aureus)
diseases of S. aureus
Folliculitis, Furuncles, Impetigo, Wounds, Bacteremia, Endocarditis, Pneumonia, and Osteomyelitis
rare infection caused by certain toxin-producing strains of Staphylococcus aureus infants, erythema followed by skin desquamation
Scalded Skin Syndrome (SSS)
rare and sometimes fatal staphylococcus infection that generally occurs in menstruating women, most of whom use vaginal tampons for menstrual protection
Toxic Shock Syndrome (TSS)
occurs 1-8 hours after toxic ingestion and last less then 24 hours
Food Poisoning
are normal inhabitants of the oral cavity and are a cause of transeint bactermia after dental procedures. In patients with pre-existing valvular lesions, viridans streptococci can adhere to fibrin-platelet aggregates through dextrans to establish infection that leads to endocarditis
Viridans streptococci
disease associated with Viridans streptococci
Endocarditis
an organism that lives on or in a host organism and gets its food from or at the expense of its host
Parasite
the single-celled microscopic animals, larger than viruses
Protozoa
multicellular parasitic organisms like nematodes and platyhelminths (trematodes, cestodes)
Helminths
parasites that live on the external surface of a host
Ectoparasites
neither benefit at expense of each other
Commensal Symbiotic
one member benefits at expense of other
Parasitic Symbiotic
both benefit from each other
Mutualistic Symbiotic
only live in association with host
Obligate Symbiotic
not essential for life or reproduction for one or both host and parasite
Facultative Symbiotic
T/F: parasitic diseases occur universally among people who live in poverty
True
the total number of deaths from the five leading causes of death from parasites; malaria, visceral leishmaniasis, schistosomiasis, chagas disease, ascariasis
755,400
infectious diseases that primarily affect the poorest regions of the world (many of which are located in the tropics) and have not been a priority for funding agencies, pharmaceutical companies, or global policymakers
Neglected Tropical Diseases (NTDs)
five parasitic infections targeted by CDC as priorities for public health action
Chagas Disease, Neurocysticercosis, Toxocariasis, Toxoplasmosis, and Trichomoniasis
move with whip-like appendage
Flagellates
move with pseudopodia
Amebae
nonmotile organisms that form spores
Sporozoa
leading cause of waterborne disease in the USA: transmitted by fecal-oral ingestion
Cryptosporidium spp
T/F: chlorination of pools can prevent the spread of Cryptosporidium spp.
False
cryptosporidium spp inhabit the ______ _________ __________ __________ of the GIT
Brush Border Mucosal Membrane
Cryptosporidium spp.
"""Poopy Water"""
causes amoebic dysentery and transmitted by ingestion of mature cysts from fecal-contaminated food, water, hands, or sex
Entamoeba histolytica
Entamoeba spp.
Bloody Diarrhea w/ Mucus
enteric, flagellated, binucleated, ventral disc for adhesion to intestines transmitted by ingestion of infection cysts in fecal-contaminated food or water
Giardia lamblia
giardia lamblia
"""Traveler's-Associated Diarrhea"""
"disease with watery, foul-smelling, large volume ""greasy""/fatty diarrhea (steatorrhea)"
Acute Giardiasis
disease with foul-smelling, fatty stools, periods of diarrhea alternation with constipation, steatorrhea, lactose intolerance, vitamin B12 and fat-soluble vitamin deficiencies (ADEK) no blood, pus, or mucus in the stool
Chronic Giardiasis
causes granulomatous amebic encephalitis (GAE) and keratitis transmitted by cuts in the skin and infection develops in skin, eye, or brain
Acanthamoeba spp.
granulomatous amebic encephalitis in immunocompromised individuals typically results in ________ and keratitis in immunocompromised individuals can lead to _________
Death and Blindness
"""brain eating"" thermophilic amoeba transmitted by entry into nasal passages during warm fresh or poorly chlorinated water-related activity"
Naegleria fowleri
causes malaria and is transmitted by the Anopheles mosquito during blood meal, congenitally, blood transfusions, organ transplantations, or sharing needles and syringes
Plasmodium spp.